Planning and Evaluation

Resources

Interstate Information
Interstate Interventions
Interstate Measuring Outcomes
Interstate Medical Records
Interstate Policies & Procedures
Interstate Practice Management Improvement
Interstate Scope of Services
Interstate Special Topics
Interstate System



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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

 

 

 

Interstate Information

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

SamplesAcronym Abbreviation List
SamplesClient Responsibilities Summary
SamplesConfidentiality Agreement Form Employees
SamplesConfidentiality Sign
SamplesDear Parent Letter
SamplesHealth Education Presentation Form
SamplesHealth Education Presentation Form Sample 1
SamplesHealth Education Presentation Form Sample 2
ReferencesHIPAA and Schools UNC Article
ReferencesHIPAA FERPA IDEA and SBHCs-NASBHC
SamplesImmunization Letter to Parents
SamplesParent Letter - Clay SBHC WVA
SamplesParent Letter - Rainelle Medical Center
SamplesParent Letter Abdominal Pain
SamplesParent Letter BMI
SamplesParent Letter Ear Infection
SamplesParent Letter Follow Up
SamplesParent Letter GI Virus
SamplesParent Letter Pink Eye
SamplesParent Letter Sinus Problem
SamplesParent Letter Sore Throat
SamplesParent Letter Student Seen
SamplesParent Letter URI
SamplesSports Physical Letter

 

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Interstate Interventions

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

Primary Care Interventions for Acute and Chronic
General Interventions
Mental Health Interventions
Oral Health
Substance Abuse



Primary Care Interventions for Acute and Chronic

Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

ReferencesAssessment Prevention and Treatment of Child and Adolescent Overweight and Obesity
PresentationsHealth Assessment for Overweight Children in School Presentation
PresentationsHealth Care for Special Populations: Examining the Role of SBHCs Presentation NASBHC
PresentationsManaging Asthma through the Chronic Care Model of Improvement Part 1 Presentation
PresentationsManaging Asthma through the Chronic Care Model of Improvement Part 2 Presentation
PresentationsMental Health Interventions for Obesity Presentation
PresentationsMotivational Interviewing Presentation
PresentationsObesity Model Programs and Evaluating Quality Programs Presentation

 

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General Interventions

Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

Presentations1 Overview of Risk and Protective Factors Presentation NASBHC
Presentations2 Assessment of Risk and Protective Factors Presentation NASBHC
Presentations3 Modifying Risk and Protective Factors Presentation NASBHC
SamplesAnnual Preventive Service Visit North Carolina
SamplesAnnual Wellness Exam-EPSDT Envision NMX Nov 07
Under ConstructionHealth Education Toolkit NASBHC
SamplesImmunization Guidelines Oregon
ReferencesSocial Learning Theory
PresentationsVaccination of Adolescents: New Frontier Presentation
PresentationsVaccination of Adolescents Presentation
ReferencesVision Screening AAP guidance
SamplesVision Screening Policy Sample
SamplesVisit Sheet NRHA WVA

 

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Mental Health Interventions

Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction


SamplesClinical Assessment Tool Risk and Stress Factors
ReferencesCognitive Behavioral Intervention for Trauma in Schools Fact Sheet
PresentationsCognitive Behavioral Intervention for Trauma in Schools Presentation NASBHC
PresentationsCognitive Behavioral Therapy Training in Core Skills Presentation NASBHC
SamplesComplete Depression Guidelines New Mexico
ReferencesComprehensive Risk Assessment Review Tool Mental Health Education and Training Initiative NASBHC
ReferencesFive Axis Cheat Sheet Mental Health Education and Training Initiative NASBHC
PresentationsFriends for Youth an Group Intervention for Anxiety Presentation NASBHC
ReferencesIllinois Center Mental Health Partnerships Guidelines
PresentationsIntroduction to Manualized Interventions Presentation NASBHC
ReferencesMental Health Assessment Free Tools CSMH
SamplesMental Health Conditions Fact Sheets for Classrooms Minnesota
PresentationsMental Health Diagnostic Training Presentation NASBHC
PresentationsMental Health Diagnostic and Procedural Coding Presentation NASBHC
SamplesMental Health Protocol Manual Baton Rouge
ReferencesMental Health References - Bright Futures
ReferencesMHPET Identification and Referrals
ReferencesPromoting Mental Health-Bright Futures
SamplesRisk and Protective Factors by Disorder
SamplesRisk and Protective Factors Overview Mental Health Perspective
PresentationsRunning Effective Groups with Children and Adolescents Presentation NASBHC
ReferencesSBHC Behavioral Health Overview NASBHC
PresentationsSkillstreatming a Group and Individual Intervention for Problem Solving Presentation NASBHC
ReferencesTeen Violence and Safety Web Resources
Under ConstructionWhat Can SBHC Providers Do To Address ADHD Presentation NASBHC


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Oral Health

Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

ReferencesCatalyzing Improvements in Oral Health
ReferencesCHCS Report Oral Health Best Practices
ReferencesDental Need and School-Based Services Fact Sheet
ReferencesDental Health Web Sites
ToolsDental Safety Net Resource Guide
ReferencesModels for Delivering School-Based Dental Care Article
ReferencesOral Health Poster Convention NASBHC

 

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Substance Abuse

Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction


SamplesAlcohol Drug Screening - Riverside SBHC WVA
ToolsAlcohol Use Disorder Identification Test AUDIT
ReferencesSubstance Abuse Info for Clinicians MSMHA
SamplesSubstance Abuse Services Sample Policy Michigan
ReferencesTobacco Prevention for Clinicians MSMHA
ToolsUnderstanding the Link Between Adolescent Trauma and Substance Abuse Toolkit for Providers

 

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Interstate Measuring Outcomes

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction


PresentationsCoding 101 Web Conference NASBHC
ReferencesCoding Compliance Cheat Sheet Blank
ReferencesCoding Compliance Cheat Sheet Sample
ReferencesCoding Compliance Expanded Version
ReferencesCoding Handout 1 - Blank Coding Audit Cheat Sheet
ReferencesCoding Handout 10 - Completed Encounter Form - case 10a
ReferencesCoding Handout 11 Completed Audit Cheat Sheet - 10a
ReferencesCoding Handout 2 - Blank Coding Audit Cheat Sheet
ReferencesCoding Handout 3 - Blank Chart Note
ReferencesCoding Handout 4 - Blank Encounter Form
ReferencesCoding Handout 5 - Completed Chart Note - case 10
ReferencesCoding Handout 6 - Completed Encounter Form - case 10
ReferencesCoding Handout 7 - Completed Coding Audit Cheat Sheet - case 10
ReferencesCoding Handout 8 - Completed Coding Audit Cheat Sheet - back - case 10
ReferencesCoding Handout 9 - Completed Chart Note - case 10a
PresentationsElectronic Medical Records McKesson Presentation NASBHC
SamplesMaryland QI Focus Group Questions
SamplesMental Health Counselor Activity Report Sample Seattle
ToolsMental Health Planning and Evaluation Template paper tool NASBHC
PresentationsMental Health Planning and Evaluation Template Presentation NASBHC

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Interstate Medical Records

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

SamplesAdolescent Physical Exam Charting Sheet Michigan
SamplesAdolescent Review of Systems Charting Sample Michigan
SamplesCare Review Form
ReferencesChart Audit Form Mental Health and Training Initiative NASBHC
SamplesChart Order Example
SamplesChart Order-New River Health Center
ReferencesChart Review Guide Mental Health Education and Training Initiative NASBHC
SamplesConsent Annual Update Summersville SBHC WVA
SamplesConsent Cover Letter English Wisconsin
SamplesConsent Cover Letter for Collins SBHC WVA
SamplesConsent Dental Mt. Hope SBHC WVA
SamplesConsent for Care Policy - Riverside SBHC WVA
SamplesConsent Hepatitis B - Oak Hill SBHC WVA
SamplesConsent HPV Oak Hill SBHC WVA
SamplesConsent Insurance form - New River Health Association WVA
SamplesConsent Mt. Hope SBHC WVA
SamplesConsent Sample
SamplesConsent Mental Health - New River Health Association WVA
SamplesConsultation Form Sample
SamplesControl Log - Rainelle Medical Center, WVA
SamplesEncounter Form Mental Health Maryland
SamplesEncounter Form- New Mexico
SamplesEncounter Form Well Child NRHA WVA
SamplesHealth History English Elementary School
SamplesHealth History English High School
SamplesHealth History English Middle School
SamplesHealth History Spanish Elementary School
SamplesHealth History Spanish High School
SamplesHealth History Spanish Middle School
PresentationsIntegrating EMR into SBHC Settings Presentation NASBHC
SamplesMedia Contact Consent Form Student
SamplesMedical Assistant Triage Progress Note Michigan
SamplesMedical Record Request - Riverside SBHC WVA
SamplesMedical Records Complete and Accurate - Riverside SBHC WVA
SamplesMedical Records Format - Riverside SBHC WVA
SamplesMedical Records Retention - Riverside SBHC WVA
SamplesMedical-Dental Encounter Form-Maryland
SamplesMedication Dispense Log Charts - RMC WVA
SamplesMedication List -Chart
ReferencesMental Health Contact Note Mental Health Education and Training Initiative NASBHC
ReferencesMHPET Administrative Functions
SamplesNew Client Encounter and Chart Order - Riverside SBHC WVA
SamplesNotice of Privacy-Rainelle Medical Center
SamplesPart 1 - Consent General - Rainelle Medical Center
SamplesPart 2 - Consent Insurance Info - Rainelle Medical Center
SamplesPart 3 - Consent Counseling - Rainelle Medical Center
SamplesPhysical Activity and Nutrition Group Charting Michigan
SamplesPhysician Referral Form Sample
SamplesProblem List Chart
SamplesProgress Notes Chart
SamplesReferral Consent Basic
SamplesRegistration Sample
SamplesRelease of Medical Record - RMC WVA
SamplesSports Physical Examination Form Michigan
SamplesTelephone Triage - Riverside WVA
SamplesTracking Referrals RWC Louisiana SBHC
SamplesTriage Visit Record
SamplesVisit Sheet - NRHA WVA

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InterstatePolicies & Procedures

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

 

Policies and Procedures24 Hour Access to Care Sample Policy Final
Policies and ProceduresAge Appropriate Reproductive Health Sample Policy
Policies and ProceduresAppointment Length Sample Policy
Policies and ProceduresAppointment Scheduling Guidelines Sample Policy
Policies and ProceduresCamp Job Sports Physicals Sample Policy
Policies and ProceduresCLIA Standards Sample Policy
Policies and ProceduresChild Abuse and Neglect Sample Policy
Policies and ProceduresClient Encounters Sample Policy
Policies and ProceduresClinic Flow Guidelines Sample Policy
Policies and ProceduresCollaboration PCP Sample Policy
Policies and ProceduresCommunicable Disease Reporting Sample Policy
Policies and ProceduresConfidentiality Sample Policy
Policies and ProceduresConsent for Care Sample Policy
Policies and ProceduresCoordination Care Outside Providers Sample Policy
Policies and ProceduresCoordination of Care with School Nurse Sample Policy
Policies and ProceduresCredentialing Policy Sample Policy
Policies and ProceduresDental Services Sample Policy
Policies and ProceduresDid Not Arrive Sample Policy
Policies and ProceduresEighth Grade Outreach Sample Policy Final
Policies and ProceduresEligibility Sample Policy
Policies and ProceduresEmergency Care of Non-Registered Clients Sample Policy
Policies and ProceduresEmergency Storage Immunizations Sample Policy
Policies and ProceduresHealth Education and Health Promotion Sample Policy
Policies and ProceduresHIV AIDS Sample Policy
Policies and ProceduresImmunizations Sample Policy
Policies and ProceduresInfectious Waste Disposal Sample Policy
Policies and ProceduresInjections Sample Policy
Policies and ProceduresLab ML GC Sample Policy
Policies and ProceduresLab Results Vacation Sample Policy
Policies and ProceduresMandated Reporting Sample Policy
Policies and ProceduresMedical Emergencies During School Sample Policy
Policies and ProceduresMedical Records Overview Sample Policy Final
Policies and ProceduresMedical Services Sample Policy
Policies and ProceduresMedication Dispensing Sample Policy
Policies and ProceduresMental Health Diagnostic and Procedural Coding Sample Policy
Policies and ProceduresMental Health Emergencies Sample Policy
Policies and ProceduresNon-Enrolled Student Sample Policy
Policies and ProceduresNutrition Services Sample Policy
Policies and ProceduresOSHA Compliance Sample Policy
Policies and ProceduresOutreach Worker Role Sample Policy
Policies and ProceduresOutreach Workers Sample Policy
Policies and ProceduresParent Guardian Involvement Sample Policy
Policies and ProceduresParticipation on Student Teams Sample Policy
Policies and ProceduresPhysicals Camp Sports Jobs Sample Policy
Policies and ProceduresPositive Pregnancy Test Referral Sample Policy
Policies and ProceduresPre-Conception Treatment Sample Policy
Policies and ProceduresReferrals Sample Policy Sample Policy
Policies and ProceduresRisk And Protective Factor Screening Assessment Sample Policy
Policies and ProceduresSex Ed and Counseling Sample Policy
Policies and ProceduresSexual Harassment Rights Students Sample Policy
Policies and ProceduresSports Physical Sample Policy
Policies and ProceduresTeacher Consultation and Student Observation Policy Sample
Policies and ProceduresTracking Guidelines Sample Policy
Policies and ProceduresWalk In Clients Sample Policy
Policies and ProceduresWellness Care Sample Policy
Policies and ProceduresWork Site Safety Sample Policy

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Interstate Practice Management Improvement

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

 

ToolsSCORE Model-Care Management

 

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Interstate Scope of Services

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction


References40 Developmental Assets
Samples40 Developmental Assets Elementary Age
Samples40 Development Assets-Middle School
SamplesAn Assets Checklist
SamplesAnnual Preventive Service Visit North Carolina
ReferencesAsset Building Overview
SamplesAssets Checklist Sample
PresentationsBright Futures Guidelines 3rd Edition and SBHCs NASBHC Webinar Presentation NASBHC
ReferencesEarly Childhood Framework Developmental Assets
ReferencesMaterials Guide Choosing and Adapting Culturally and Linguistically Competent Health Promotion Materials
SamplesMental Health Services MI Policy Recommendations
ReferencesMHPET Continuum of Services
ReferencesPeriodicity Chart AAP Bright Futures
ReferencesProviding Culturally and Linguistically Sensitive Services to LGBTQI2-S
SamplesRights and Responsibilities for Teens in the SBHC
ReferencesRole of Community in Defining Scope of Services NASBHC
ReferencesSBHC Behavioral Health Overview NASBHC
ReferencesSBHC Chronic SHCN Overview NASBHC
ReferencesSBHC Family and School Personnel Overview NASBHC
ReferencesSBHC Improving Health Equity and Reducing Health Disparities Position Statement NASBHC
ReferencesSBHC Primary Care Overview NASBHC
ReferencesSBHC Risk Assessment Overview NASBHC
ReferencesSBHC Support Services for Families and School Personnel Overview NASBHC
ReferencesSBHC Wellness Overview NASBHC
ReferencesScreening Algorithm Preventive and Health Guidance GAPS
Under ConstructionSentinel Condition Overview

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Interstate Special Topics

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

ReferencesAdolescent Best Practice Resource NAHIC
ReferencesAdolescent Health Care in SBHC Position Statement NASBHC
ReferencesAdvocates for Youth Adolescent Access to Confidential Health Services
ReferencesCDC Review of School Laws and Policies Concerning Child and Adolescent Health ASHA
SamplesCovered Services Chart
SamplesCrisis Management for Clinicians Maryland School Mental Health Alliance
ReferencesCrisis Planning Guide for Schools and Community
ReferencesFamily Centered Care Integrated Medical and Dental JSPN
ToolsFamily Engagement Quiz NASBHC
ReferencesHIPAA and Schools UNC Article
SamplesIdeas for Parent Involvement in School-Based Health Care
PresentationsIt's A Family Affair: Families and Healthcare Presentation NASBHC
ReferencesIt's A Family Affair: Resources for Family Engagement NASBHC
ReferencesMHPET Crisis Management
ReferencesMinor Consent Law Categories
ReferencesOSHA- Blood Born Pathogens Exposure Control Guidelines Policies RMC WVA
ReferencesPatient Confidentiality AMA 2007
ReferencesSAM Position Paper Confidential Health Care for Adolescents
ReferencesSocial Learning Theory
SamplesSSRIs and SBHCs Position Paper King County WA
ReferencesState Policies and Confidential Care for Adolescents NAAAH

 

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Interstate System

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Tools Tools ReferencesReferences Policies and Procedures Policies & Procedures
PresentationsPresentations Samples Samples Under Construction Under Construction

SamplesClinical Laboratory CLIA WVA
SamplesEmergency Box Checklist
SamplesEmergency Kit Log - Rainelle Medical Center WVA
SamplesFormulary Draft Guidelines
SamplesImmunization Guidelines-Oregon
SamplesInactive Charts - Clay WVA
SamplesInfection Control Policy and Procedure North Carolina
SamplesLab Housekeeping-Personal Protective Equipment Protocol Checklist and Guidelines
SamplesLaboratory Tickler - Riverside WVA
SamplesMedication Inventory Expiration Disposal Chart - RMC WVA
SamplesReferral Resource Summary Information Sheet
SamplesSample Drugs Policy and Procedure North Carolina
SamplesTemperature Record and Log - Riverside WVA
SamplesWellness Center Drug Inventory - NRHA WVA

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